Agnieszka Grochowska DT Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

AGNIESZKA GROCHOWSKA DT INC

Practice address

424 Thunder RDG
Lake in the Hills, IL 60156-4827

Phone

(773) 895-1367

Fax

(847) 658-3080

NPI assigned

Mar 20, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Agnieszka Agata GrochowskaNPI 1407978810

Title

CDS

Phone

(773) 895-1367

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Agnieszka Agata Grochowska, DEVELOPMENTAL THERAP

  • Developmental Therapist
  • Lake in the Hills, IL
  • NPI 1407978810
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1881865517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 THUNDER RDG",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601564827",
            "telephone_number": "773-895-1367",
            "fax_number": "847-658-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 THUNDER RDG",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601564827",
            "telephone_number": "773-895-1367",
            "fax_number": "847-658-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGNIESZKA GROCHOWSKA DT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "GROCHOWSKA",
        "authorized_official_first_name": "AGNIESZKA",
        "authorized_official_middle_name": "AGATA",
        "authorized_official_title_or_position": "CDS",
        "authorized_official_telephone_number": "773-895-1367",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Lake in the Hills, IL
• Providers in Lake in the Hills, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.